Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY NEIL LONGENECKER, PA-C
ActiveMR. JEFFREY NEIL LONGENECKER, PA-C is a Surgical Physician Assistant healthcare provider located in ATHENS, Tennessee. NPI 1609024140 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ATHENS, TN
Registration Details
- NPI Number
- 1609024140
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 8, 2008 (17.921968881926 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
1655 (TN)1655 (TN)
Practice Information
- Address
-
1114 W MADISON AVEATHENS, TN, 373034150Browse TN providers · Browse ZIP 37303
- Phone
- 4237443308
- Fax
- 4237443495
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Medical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.